Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review. (23rd May 2014)

• Record Type: Journal Article
• Authors: Wong, John K F; Nortley, Ross; Andrews, Thomasin; D'Cruz, David
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-05-23
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2012-008038
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 54-year-old woman diagnosed with primary Sjögren's syndrome in 2007 presented with a 1-year history of visual hallucinations requiring admission to a psychiatric unit. The hallucinations resolved while on olanzapine and hydroxychloroquine but recurred when they were stopped. Despite restarting olanzapine, her visual hallucinations persisted. When she started a tapering dose of prednisolone, all the hallucinations resolved. This report adds to the small literature on psychiatric manifestations of Sjögren's syndrome and provides evidence that low-dose corticosteroids may be an effective treatment for this manifestation.